福建省农村结核病控制可持续发展的试点探讨

目的　探讨1999—2002年在福建省4个县农村开展结核病控制可持续发展工作。方法 结合WHO西太区项目,执行WHO提出的直接督导下短程化疗(DOTS)策略,规范组织管理与各项技术标准。结果 试点4年来,4个县共投入专项经费98万元,DOTS覆盖率100%;初诊病人就诊率1%,查痰率87.7%,阳性检出率32.4%,涂阳比例达58.2%;新发涂阳新登记率年均22.13/10万,涂阳新登记率年均28.93/10万,化疗督导率达89%,规则治疗率达98.6%,初、复治涂阳病人一年转归队列分析治愈率分别达92.7%、87.9%。结论 落实政府承诺、提高结防机构能力建设,标准化技术规范、落实归口管理、开展持久的健康教育等4个方面是农村结核病控制可持续发展的重要措施。

Pilot in sustainability of TB control in rural area in Fujian

Objective To explore the sustainability of TB co ntrol in the 4 rural areas in Fujian from 1999 to 2002.Methods To implement DOTS strategy,standardize the managements and technical performances.Results During the four years,the overall investment on TB control was 0.98 million Yuan RMB.The DOTS cover rate o f was 100%. The consultation rate of TB suspects was only 0.1%.The sputum examin ation rate was 87.7%, and the positive rate was 32.4%.Smear positive cases occup ied 58.2% of TB cases. The rates of new smear positive cases and smear posit ive patients were 22.1/100000 and 28.9/100000 respectively.The rate of treatment management under direct observation was 89%.The regular treatment rate reached 98.6%, the cure rates of initially tr eated cases and retreated smear positive cases were 92.7% and 87.9% respectively .Conclusion Government committment,strengthened capacity buildi ng of TB control staff,standardizing technical,performance,improved referral sys tem and health promotion were the important approaches to maintain the sustainab ility of TB control in the rural area.